Incidence

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• AHT is a major cause of CNS injury in young children.

• Estimated incidence of 12.8 to 17 per 100,000 in children < 2 years of age and 21 to 33.8 per 100,000 in children < 1 year. 

• Mortality rate up to 36% 

• Survivors of AHT are subject to significant morbidity. 

  • Neurological sequelae include motor impairments, speech deficits, seizures and developmental-behavioral disorders.

  • The majority require long-term rehabilitation (up to 83%) 

  • Long-term care creates a significant economic burden

  • Estimated life time cost per AHT patient is $200,000.

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Presenting Variables associated with poor outcome

 

• Glasgow Coma Score (GCS) < 6

• Low socio-economic status (SES)

• Symptomatic seizures

 

Symptomatic Seizures

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• Acute symptomatic seizures occur in 57% of AHT patients